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Individual

MARCELLA R SIKYTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
110 S 26TH ST, ORD, NE 68862-1240
(308) 728-4340
Mailing address
2707 L ST, ORD, NE 68862-1275
(308) 728-4200

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1174
MASTER SOCIAL WORKER
NE
01
2933
LICENSED MENTAL HEALTH PRACTITIONER
NE
Enumeration date
01/31/2014
Last updated
01/31/2014
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